Altered Pelvic Floor Function and Anorectal Physiology in Women With Uterovaginal Prolapse

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To investigate anorectal and sexual function in women with uterovaginal prolapse necessitating surgical repair.


Observational study using questionnaire evaluation of bowel and sexual function and anorectal physiology.


Twenty-eight women (median age, 52 years; range, 31 to 68 years) with uterovaginal prolapse and 20 control women (median age, 54 years; range, 35 to 63 years).


Ten (35%) women with prolapse reported difficulty in rectal evacuation; 1 woman (3.5%) reported a defecation frequency of more than two times per week, and 2 (7%) had a sense of urgency to defecate, compared with only 2 (10%) control patients who reported difficulty in evacuating stool. Eighteen (64%) women with uterovaginal prolapse had either complete rectal prolapse (n = 1) or anorectal mucosal prolapse (n = 17), compared with 3 (15%) control patients who had mucosal prolapse of the anorectum.

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